| NPI | 1336827641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 109437) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.034313) |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2023-09-15 |